■这项随机对照试验旨在研究功能性Sarmiento支架(非手术)与切开复位内固定(ORIF)治疗肱骨干骨折的结果。
■60例最小年龄为18岁的肱骨干骨折患者被随机分为两组:手术治疗采用切开复位内固定(ORIF)或功能支具(Sarmiento)。在接下来的12个月中,对所有受试者应用了类似的术后康复计划。每种方法的结果都是根据不愈合率进行测量的,工会时间,\"快速\"手臂残疾,肩膀,和手(DASH)问卷得分,和并发症的发生率,比如马兰,感染,和桡神经损伤.
■两组基线特征相似,包括年龄,性别,吸烟状况,断裂的类型和机制。ORIF组的平均愈合时间约为4.8周(手术组13.9周,非手术组18.7周),表明ORIF管理明显优于功能性Sarmiento支撑(p=0.001)。然而,快速DASH评分的比较显示,两组间有临界显著性差异(p=0.065).此外,我们发现,使用功能性支架治疗肱骨干骨折与骨不愈合的风险稍高相关;但这并不显著(p=0.492).
■根据目前的发现,在肱骨干骨折患者的治疗中,ORIF优于功能性Sarmiento支撑。
UNASSIGNED: This randomized controlled trial was conducted to investigate the outcomes of humeral shaft-fracture management with the functional Sarmiento brace (nonoperative) versus open reduction internal fixation (ORIF).
UNASSIGNED: Sixty humeral shaft-fracture patients with a minimum age of 18 years were randomly assigned into two groups: operative treatment with open reduction-internal fixation (ORIF) or functional brace (Sarmiento). A similar postoperative rehabilitation program was applied for all subjects for the next 12 months. The outcomes of each method were measured in terms of nonunion rate, union time, \"quick\" Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire scores, and rate of complications, such as malunion, infection, and radial nerve injury.
UNASSIGNED: The two groups had similar baseline characteristics, including age, sex, smoking status, and type and mechanism of fracture. The mean union time was about 4.8 weeks shorter in the ORIF group (13.9 weeks in operative group versus 18.7 weeks in nonoperative group), indicating a definite significant superiority (p=0.001) of ORIF management to functional Sarmiento bracing. However, a comparison of quick DASH scores revealed a borderline-significant difference between the groups (p=0.065). Additionally, we found that treatment of humeral shaft fractures using functional bracing was associated with slightly higher risk of nonunion; however this was not significant (p=0.492).
UNASSIGNED: According to the present findings, there is remarkable superiority of ORIF over functional Sarmiento bracing in the management of patients with humeral shaft fracture.